Active Integrated Medicine

LBN: Active Integrated Medicine Llc
Active Integrated Medicine is an health care organization with primary practice located at 329 E Platte Ave , Fort Morgan CO 80701-3172. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Active Integrated Medicine Llc can be contacted via phone (970) 441-1117, or through Stephens, Leif via phone (970) 458-5216.

Contact Information

Primary practice address
329 E Platte Ave Fort Morgan CO 80701-3172
Phone: (970) 441-1117
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stephens, Leif
Phone: (970) 458-5216

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1174016331
LBN Legal business name Active Integrated Medicine Llc
DBA Doing business as Active Integrated Medicine
Authorized official Stephens, Leif
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2018
Last updated Feb 23rd, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174016331 NPPES
Colorado Other 1346781846 NPI

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